ASD Flashcards

1
Q

what are the 5 disorders included in the ASD umbrella

A
aspergers 
retts syndrome 
childhood autism 
pervasive developmental disorder 
pervasive developmental disorder NOS
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2
Q

what are the impairments in ASD

A
social communication 
social imagination 
social interaction 
repetitive behaviour
restricted interest 
non social skills
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3
Q

what is social communication like in ASD

A

generally good language skills
difficulty grasping underlying meaning, jokes, idioms, metaphors and sarcasm
voices often monotonous, accented
narrow interests dominate conversations, lack of reciprocity
language pedantic and idiosyncratic
difficulty sharing thoughts and feelings

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4
Q

what is social interaction like in ASF

A

difficulty picking up non verbal cues
appear self focused and lacking empathy- actually trying to figure out social situations
continually struggle to make and sustain relationships

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5
Q

what is social imagination like in ASD

A

hard to think flexibly/ abstract
hard to understand other peoples points of view, take things literally
difficulty applying knowledge and skills across different settings
difficulties projecting themselves into the future/ planning sensible goals

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6
Q

what repetitive behaviours can occur in ASD

A

stereotyped or repetitive movements/ phrases
insistence on sameness, inflexible routines, ritualised behaviours
highly restricted, fixated interests
hyper/ hypo reactivity to sensory input

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7
Q

which gender is ASD more common in

A

boys 5:1 but more girls missed as present differently

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8
Q

how common in ASD

A

1-2 %

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9
Q

what are the theories of gender in ASD

A

sex hormones important in early brain development

Sex Hormone Binding Globulin (SHBG) levels are reduced in females with Asperger’s syndrome, pointing to higher levels of free testosterone

Studies in girls with congenital adrenal hyperplasia, (prenatally exposed to high levels of testosterone) showed more traits of ASD and higher levels of Gender dysphoria

very common to get gender identity issues with ASD patients

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10
Q

what causes ASD

A
multifactorial 
links to: 
rubella in pregnant mother 
tuberous sclerosis 
fragile X syndrome 
encephalitis 
untreated PKU

perinatal stress

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11
Q

how heritable is ASD

A

very 35-90%

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12
Q

what chromosomal abnormalities are involved in ASD

A

deletion, duplication, inversion

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13
Q

how is the brain different in ASD

A

frontal lobes, amygdala and cerebellum appear pathological

larger amygdala - severe anxiety, worse social skills

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14
Q

how is ASD diagnosed in children

A

speech and language difficulties:

  • dont babble/ vocal sounds
  • echolalia
  • non verbal bahviour difficulties

lack of awareness/ interest in other children
struggle to make friends
gravitate to older/ younger children
can either be active and aloof (hyper, cant express themselves) or passive (withdrawn)
tend to play alone
difficulties with empathy, conversations, imaginative play
routines
may flap hands/ flick fingers when excited or upset
repetitive movements
sensory processing difficulties

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15
Q

what sensory processing difficulties can exist in ASD

A

senses can be over or under stimulated
taste- restricted diet
smell- toileting problems
sound- magnified, cant cut out background noise
touch- difficulties brushing/ washing hair, only wear certain types of clothing- esp on hands or feet
sight- depth perception problems, sleep problems as light sensitive

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16
Q

how is ASD in adults diagnosed

A

same as children but better adjusted to social conventions
verbal and non verbal communication problems (presents similarly to social anxiety
socially may appear shy, find it hard to fit in, few friendships, may appear rude
clumsiness, lack of coordination
sensory issues

17
Q

what must you remember in diagnosis

A

cultural differences affecting behavioural patterns and social interactions

18
Q

what are the essential criteria for an ASD diagnosis

A

Symptoms must be present in the early developmental period
Symptoms cause clinically significant impairment in social, occupational, or other important areas of current functioning (regardless of age)
Disturbances are not better explained by other mental health problems, intellectual disability or global developmental delay

19
Q

what is commonly co morbid with ASD

A

emotional disorders- depression, anxiety, eating disorders

neurodevelopmental disorders- tourettes, OCD, ADHD, dyspraxia and sensory processing disorder, dyslexia, language impairment

learning disability

medical disorders- fragile X, tuberous sclerosis, epilepsy, hearing and visual impairments

20
Q

what is the non pharmacological management of ASD

A

self and family psychoeducation
Applied behaviour analysis, speech and language therapy, social skills training
Family and school based supports (Social Care to support independence in adulthood may be required)

21
Q

what is the pharmacological management of ASD

A

Risperidone – licensed for management of severe aggression and significant self-injury

Comorbidities will require treatment

  • Antiepileptics if seizure disorder
  • Stimulants or non-stimulants for ADHD symptoms
  • Antipsychotics for tics disorders
  • In severe autism with LD mood stabilisers generally used
  • SSRIs or SNRIs commonly prescribed to decrease social anxiety, treat mood and/or OCD
  • Melatonin for chronic insomnia